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1. 发明申请

US20110202077A1 Temporary Anastomotic Seal and Method 审中-公开
标题翻译：临时吻合口腔和方法
公开(公告)号：US20110202077A1
公开(公告)日：2011-08-18
申请号：US13033549
申请日：2011-02-23
申请人： Albert K. Chin , Dwight Morejohn , Charles S. Taylor , Steven B. Choi , Eugene Reis , John W. Davis , Geoffrey H. Willis , Edwarda A. Pineda , Kushalp P. Vepa
发明人： Albert K. Chin , Dwight Morejohn , Charles S. Taylor , Steven B. Choi , Eugene Reis , John W. Davis , Geoffrey H. Willis , Edwarda A. Pineda , Kushalp P. Vepa
IPC分类号： A61B17/11
CPC分类号： A61B17/0057 , A61B17/12022 , A61B17/12027 , A61B17/12031 , A61B17/12036 , A61B17/1204 , A61B17/12045 , A61B17/32053 , A61B2017/00362 , A61B2017/00575 , A61B2017/0061 , A61B2017/00632 , A61B2017/00637 , A61B2017/00641 , A61B2017/00659 , A61B2017/1107
摘要： Forming a proximal anastomosis on an aortic wall includes method and instrumentation and apparatus for forming an aortic puncture and inserting into the vessel through the puncture a fluid-impervious sealing element with a protruding retainer. An anastomosis of a graft vessel over the puncture is partially completed with the retainer of the sealing element protruding through the partial anastomosis. The retainer facilitates removal of the sealing element from the partial anastomosis prior to completion of the procedure.
摘要翻译：在主动脉壁上形成近端吻合包括用于形成主动脉穿刺的方法和仪器和装置，并且通过穿刺插入具有突出保持器的不透液体的密封元件的容器中。通过部分吻合突出的密封元件的保持器部分地完成了在穿刺上的移植血管的吻合。保持器有助于在完成手术之前从部分吻合中去除密封元件。

2. 发明申请

US20110172568A1 Surgical Devices for Imposing a Negative Pressure to Stabilize the Cardiac Tissue During Surgery 失效
标题翻译：外科手术用于在外科手术中施加负压以稳定心脏组织
公开(公告)号：US20110172568A1
公开(公告)日：2011-07-14
申请号：US13070353
申请日：2011-03-23
申请人： Charles S. Taylor
发明人： Charles S. Taylor
IPC分类号： A61H7/00
CPC分类号： A61B17/0218 , A61B17/00 , A61B90/40 , A61B2017/00243 , A61B2017/00703 , A61B2017/0243 , A61B2017/306 , A61B2017/3488
摘要： The invention is devices and techniques which use a negative (suction) pressure or vacuum, applied through a surgical instrument, to fix the position of a portion of the surface of a beating heart so that a surgical procedure can be more easily performed. The devices apply a negative pressure at several points on the outer surface of the heart such that a portion of the heart is fixed in place by the suction imposed through the surgical instrument. Because the instrument fixes the position of the tissue, and because the instruments remain at a constant distance from the particular portion of the heart where the surgery is being performed, the device may also serve as a support or platform so that other surgical instruments or devices can be advantageously used at the site. In certain preferred embodiments, the devices described herein have structures to facilitate the use of additional surgical instruments such that the placement of negative pressure device permit the surgeon to advantageously manipulate the other instruments during surgery. The negative pressure is preferably imposed through a plurality of ports which may be disposed in a substantially planar surface of the instrument which contacts the cardiac tissue.
摘要翻译：本发明是使用通过外科器械施加的负（吸力）压力或真空来固定跳动心脏表面的一部分的位置使得外科手术可以更容易地进行的装置和技术。这些装置在心脏的外表面上的几个点处施加负压，使得心脏的一部分通过通过手术器械施加的抽吸被固定就位。因为仪器固定组织的位置，并且因为仪器保持与正在进行手术的心脏的特定部分恒定的距离，所以该装置还可以用作支撑或平台，使得其他手术器械或装置可以有利地在现场使用。在某些优选实施例中，本文所述的装置具有便于使用额外外科器械的结构，使得负压装置的放置允许外科医生在手术期间有利地操纵其他器械。负压优选通过多个端口施加，所述多个端口可以设置在与心脏组织接触的仪器的基本平坦的表面中。

3. 发明申请

US20100210916A1 Surgical Instruments for Accessing and Stabilizing a Localized Portion of a Beating Heart 审中-公开
标题翻译：用于获取和稳定打击心脏的局部化部分的手术器械
公开(公告)号：US20100210916A1
公开(公告)日：2010-08-19
申请号：US12768414
申请日：2010-04-27
申请人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II , Joshua K. Wallin , Morejohn P. Dwight , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
发明人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II , Joshua K. Wallin , Morejohn P. Dwight , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
IPC分类号： A61B1/32
CPC分类号： A61B17/0206 , A61B17/0483 , A61B90/50 , A61B2017/0243 , Y10T403/32024 , Y10T403/32032
摘要： Surgical devices for stabilizing the heart are disclosed which facilitate anastomosis under beating heart conditions. Various instruments or devices may be maneuvered and secured on a retractor device to provide stabilization of the heart. An instrument mount is provided which is preferably configured to accept a surgical instrument, such as a tissue stabilizer, and to allow the instrument to be easily maneuvered to a desired position and subsequently locked into position with a simple operation of a single locking actuator. Further disclosed are stabilizer devices each having at least one surface for contacting the heart and each being adapted to be mounted to the retractor while having the ability to be positioned in the desired location against the heart.
摘要翻译：公开了用于稳定心脏的手术装置，其用于在跳动的心脏状况下进行吻合。各种仪器或装置可以被操纵并固定在牵开装置上以提供心脏的稳定。提供了一种仪器座，其优选地被配置为接受诸如组织稳定器的手术器械，并且允许器械容易地操纵到期望位置，并随后通过单个锁定致动器的简单操作而被锁定到位。进一步公开的是稳定器装置，每个装置具有至少一个用于接触心脏的表面，并且每个表面适于安装到牵开器，同时具有相对于心脏定位在所需位置的能力。

4. 发明授权

US07288065B1 Access platform for internal mammary dissection 失效
标题翻译：内部乳腺切开手术平台
公开(公告)号：US07288065B1
公开(公告)日：2007-10-30
申请号：US09480828
申请日：2000-01-10
申请人： Charles S. Taylor , William N. Aldrich , Federico J. Benetti , Richard S. Ginn , Dwight P. Morejohn , Brent Regan , Eugene E. Reis , Ivan Sepetka , William F. Witt
发明人： Charles S. Taylor , William N. Aldrich , Federico J. Benetti , Richard S. Ginn , Dwight P. Morejohn , Brent Regan , Eugene E. Reis , Ivan Sepetka , William F. Witt
IPC分类号： A61B17/04 , A61B1/32 , A61M29/00
CPC分类号： A61B17/3423 , A61B17/0206 , A61B17/025 , A61B17/3476 , A61B90/50 , A61B2017/349
摘要： An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and a sternal pad interconnected to a blade. The superior blade is preferably pivotally coupled to the spreader member such that it naturally rises as the blades are separated. Alternatively, a vertical displacement member is operably interconnected to a blade and the spreader member and is used to vertically displace the interconnected superior blade and, thus, increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor is interconnected to the blades to draw the soft tissue around an incision away from the surgeon's working area.
摘要翻译：一种进入平台，具有互连到扩张器构件的第一和第二刀片，所述第二和第二刀片横向地驱动刀片彼此分开或一起，以及与刀片互连的胸骨垫。优选的叶片优选地枢转地联接到扩展器构件，使得其随着叶片分离而自然地上升。或者，垂直移位构件可操作地连接到叶片和吊架构件，并且用于垂直地移位互连的上叶片，并且因此增加外科医生的工作空间和用于解剖内部乳房动脉的视觉进入。组织牵缩器与刀片相互连接以将软组织围绕切口远离外科医生的工作区域。

5. 发明授权

US06893391B2 Surgical devices for imposing a negative pressure to stabilize cardiac tissue during surgery 失效
公开(公告)号：US06893391B2
公开(公告)日：2005-05-17
申请号：US10020451
申请日：2001-12-14
申请人： Charles S. Taylor
发明人： Charles S. Taylor
IPC分类号： A61B17/00 , A61B17/02 , A61B17/30 , A61B17/34 , A61B19/00 , A61F2/00
CPC分类号： A61B17/0218 , A61B17/00 , A61B90/40 , A61B2017/00243 , A61B2017/00703 , A61B2017/0243 , A61B2017/306 , A61B2017/3488
摘要： The invention is devices and techniques which use a negative (suction) pressure or vacuum, applied through a surgical instrument, to fix the position of a portion of the surface of a beating heart so that a surgical procedure can be more easily performed. The devices apply a negative pressure at several points on the outer surface of the heart such that a portion of the heart is fixed in place by the suction imposed through the surgical instrument. Because the instrument fixes the position of the tissue, and because the instruments remain at a constant distance from the particular portion of the heart where the surgery is being performed, the device may also serve as a support or platform so that other surgical instruments or devices can be advantageously used at the site. In certain preferred embodiments, the devices described herein have structures to facilitate the use of additional surgical instruments such that the placement of negative pressure device permit the surgeon to advantageously manipulate the other instruments during surgery. The negative pressure is preferably imposed through a plurality of ports which may be disposed in a substantially planar surface of the instrument which contacts the cardiac tissue.

6. 发明授权

US06758808B2 Surgical instruments for stabilizing a localized portion of a beating heart 有权
标题翻译：用于稳定跳动心脏的局部化部分的手术器械
公开(公告)号：US06758808B2
公开(公告)日：2004-07-06
申请号：US09769964
申请日：2001-01-24
申请人： David J. Paul , Joshua K. Wallin , Eugene E. Reis , Alfredo R. Cantu , Harry L. Green , Harry Ino , Charles S. Taylor
发明人： David J. Paul , Joshua K. Wallin , Eugene E. Reis , Alfredo R. Cantu , Harry L. Green , Harry Ino , Charles S. Taylor
IPC分类号： A61B132
CPC分类号： A61B17/0206 , A61B2017/0243 , A61B2017/306 , A61G13/12
摘要： Stabilization devices, systems and methods for stabilizing tissue to perform a surgical operation while the heart of the patient continues to beat. A stabilization system including a tissue contact member having a surface adapted to contact the tissue and temporarily maintain the tissue in a relatively immobilized state; and a maneuverable arm attached to the tissue contact member, which includes at least one articulating joint formed by a link having a male articulating surface composed of angled teeth and a female articulating surface having angled trenches adapted to receive the angled teeth.
摘要翻译：稳定装置，系统和方法，用于在患者的心脏继续击打的同时稳定组织以执行外科手术。一种稳定系统，包括具有适于接触组织并暂时维持组织处于相对固定状态的表面的组织接触构件; 以及附接到组织接触构件的可机动臂，其包括由具有由成角度的齿组成的阳性关节表面的连杆形成的至少一个铰接接头和具有适于接收成角度的齿的具有成角度的沟槽的阴性铰接表面。

7. 发明授权

US06743169B1 Surgical instruments and procedures for stabilizing the beating heart during coronary artery bypass graft surgery 失效
公开(公告)号：US06743169B1
公开(公告)日：2004-06-01
申请号：US09975392
申请日：2001-10-10
申请人： Charles S. Taylor , William N. Aldrich , Thomas L. Baughman , Federico J. Benetti , Brian J. Bennett , Michael J. Billig , Thomas J. Fogarty , John J. Frantzen , Richard S. Ginn , Robert C. Glines , Harry L. Green , Dwight P. Morejohn , Brent Regan , Eugene E. Reis , Amr Salahieh , Ivan Sepetka , Benjamin Sherman , Christian Skieller , Valavanur A. Subramanian , Gary B. Weller , William F. Witt
发明人： Charles S. Taylor , William N. Aldrich , Thomas L. Baughman , Federico J. Benetti , Brian J. Bennett , Michael J. Billig , Thomas J. Fogarty , John J. Frantzen , Richard S. Ginn , Robert C. Glines , Harry L. Green , Dwight P. Morejohn , Brent Regan , Eugene E. Reis , Amr Salahieh , Ivan Sepetka , Benjamin Sherman , Christian Skieller , Valavanur A. Subramanian , Gary B. Weller , William F. Witt
IPC分类号： A61B132
CPC分类号： A61B17/3421 , A61B17/00234 , A61B17/02 , A61B17/0206 , A61B17/0218 , A61B17/0642 , A61B17/12 , A61B17/3423 , A61B17/8076 , A61B90/00 , A61B2017/00243 , A61B2017/00539 , A61B2017/00703 , A61B2017/00858 , A61B2017/00991 , A61B2017/0243 , A61B2017/0648 , A61B2017/1139 , A61B2017/2825 , A61B2017/2913 , A61B2017/2929 , A61B2017/306 , A61B2017/349
摘要： The invention is methods and devices which a surgeon may use to stabilize the beating heart during a surgical procedure on the heart. Pursuant to the invention, a stabilizing device is introduced through an opening in the chest and brought into contact with the beating heart. By contacting the heart with the device and by exerting a stabilizing force on the device, the motion of the heart caused by the contraction of the heart muscles is effectively eliminated such that the heart is stabilized and the site of the surgery moves only minimally if at all. Typically, in separate steps, the surgeon contacts the heart with the stabilizing means, assesses the degree of movement of the anastomosis site, and exerts a force on the stabilizing means such that the contraction of the beating heart causes orgy minimal excess motion at the surgery site. By fixing the position of the stabilizing means in a configuration where the motion of the beating heart is effectively eliminated, the surgeon is able to stabilize the beating heart for the duration of the procedure. The stabilizing means may be attached to a rigid support or may be attached to a semi-rigid support which is rendered motionless mechanically, chemically, or by human intervention. In certain preferred embodiments, the stabilizing means is affixed to a semi-rigid support which is caused to become rigid, by any of a variety of techniques, such that the position of the stabilizing means becomes fixed by the support, and the heart remains substantially motionless for the duration of the procedure.

8. 发明授权

US06656113B2 Surgical instruments and procedures for stabilizing a localized portion of a beating heart 失效
标题翻译：用于稳定跳动心脏的局部化部分的手术器械和程序
公开(公告)号：US06656113B2
公开(公告)日：2003-12-02
申请号：US09866109
申请日：2001-05-25
申请人： Harry Leonard Green, II , Joshua K. Wallin , Dwight P. Morejohn , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
发明人： Harry Leonard Green, II , Joshua K. Wallin , Dwight P. Morejohn , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
IPC分类号： A61B1702
CPC分类号： A61B17/00234 , A61B17/02 , A61B17/0206 , A61B17/0218 , A61B17/0483 , A61B17/0642 , A61B17/12 , A61B17/3421 , A61B17/3423 , A61B17/8076 , A61B90/00 , A61B90/50 , A61B2017/00243 , A61B2017/00539 , A61B2017/00703 , A61B2017/00858 , A61B2017/00991 , A61B2017/0243 , A61B2017/0648 , A61B2017/1139 , A61B2017/2825 , A61B2017/2913 , A61B2017/2929 , A61B2017/306 , A61B2017/349
摘要： In accordance with the present invention, there is disclosed surgical methods and apparatus for accessing and stabilizing the heart. The methods and apparatus facilitate access to an anastomosis site, allows various instruments or devices to be maneuvered and secured in place, and provide stabilization of the heart. The apparatus may involve a tissue stabilizer, and in particular a tissue stabilizer for use in immobilizing or stabilizing a portion of the beating heart using a compressive force delivered to the heart via the tissue stabilizer. The stabilizer may include a stabilizer base and a shaft. The shaft may be secured within an appropriate instrument mount preferably fixed to a retractor or other stable platform as disclosed herein. The stabilizers of the present invention provide improved access to a surgical site at a target vessel on the surface of the heart and may include features which facilitate optimal presentation of the target vessel.
摘要翻译：根据本发明，公开了用于进入和稳定心脏的手术方法和装置。该方法和设备便于进入吻合部位，允许各种仪器或装置被操纵并固定到位，并提供心脏的稳定。该装置可以包括组织稳定器，特别是组织稳定器，用于使用经由组织稳定器输送到心脏的压缩力来固定或稳定一部分打浆心脏。稳定器可以包括稳定器基座和轴。轴可以固定在适当的仪器安装件中，优选地固定到如本文所公开的牵开器或其他稳定的平台。本发明的稳定剂提供对心脏表面上的目标血管的手术部位的改进的接近，并且可以包括促进目标血管的最佳表现的特征。

9. 发明授权

US06387108B1 Surgical instruments for making precise incisions in a cardiac vessel 有权
标题翻译：用于在心脏血管中进行精确切口的手术器械
公开(公告)号：US06387108B1
公开(公告)日：2002-05-14
申请号：US09541851
申请日：2000-04-03
申请人： Charles S. Taylor , John J. Frantzen , Ivan Sepetka
发明人： Charles S. Taylor , John J. Frantzen , Ivan Sepetka
IPC分类号： A61B1732
CPC分类号： A61B17/32 , A61B17/320016 , A61B2017/00243 , A61B2017/00703 , A61B2017/00778 , A61B2017/2925 , A61B2017/320052
摘要： The invention is surgical instruments which facilitate substantially linear incisions, especially through the wall of vessels, such as arteries, which have been specifically designed for coronary artery bypass graft procedures (CABG) on the beating heart. The instruments of the invention are particularly useful to create the incision in the artery to which the bypass graft is sewed, typically the left anterior descending artery (LAD). The instruments of the invention allow incisions to be rapidly made, precisely measured, and cleanly formed so that a bypass graft can be rapidly sewn in place. In one embodiment, the invention is comprised of a hand-held instrument with a curved cutting edge formed on the interior edge of a curved or arcuitous segment located near the end of the instrument. The tip of the instrument has a point of penetrating the vessel wall. The point may have several alternate shapes to facilitate penetration of the vessel wall while maximizing the trauma to the surrounding tissue. Another embodiment is comprised of a hand-held instrument with moveable member such that the incision is created by engaging a cutting blade against a stop with the tissue being cut therebetween. This instrument is also constructed to facilitate a rapid linear incisions in a vessel while minimizing the possibility for damage to the surrounding tissue. In another embodiment, the instrument features a motion-cancelling member which compensates for the movement of the target surface to be incised. This embodiment has a cutting blade which is manipulated form handle which is isolated from the movement of the tissue containing or proximate to the target of the incision. The instruments facilitate the invasive cardiac procedures by creating linear incisions quickly without undue trauma to surrounding tissue and without excess loss of blood.
摘要翻译：本发明是促进基本上线性切口的手术器械，特别是通过在搏动心脏上专门设计用于冠状动脉旁路移植手术（CABG）的血管如动脉壁。本发明的器械特别可用于在旁路移植物缝合的动脉中形成切口，通常为左前降支动脉（LAD）。本发明的仪器允许快速地进行切割，精确地测量和清洁地形成切口，使得旁路移植物能够快速地缝合到位。在一个实施例中，本发明包括具有弯曲切割边缘的手持式仪器，其形成在位于靠近仪器端部的弯曲或直立部分的内边缘上。仪器的尖端具有穿透血管壁的点。该点可以具有几种替代形状，以促进血管壁的穿透，同时使周围组织的创伤最大化。另一个实施例包括具有可移动构件的手持式仪器，使得通过将切割刀片接合在止动件上而在其间切割的组织而产生切口。该仪器还构造成便于在容器中快速线性切口，同时最小化对周围组织的损伤的可能性。在另一个实施例中，仪器具有补偿待切割的目标表面的移动的运动消除构件。该实施例具有切割刀片，该切割刀片从手柄被操纵，所述切割刀片与包含或接近切口的靶标的组织的运动隔离。这些仪器通过快速创建线性切口来促进侵入性心脏手术，而不会对周围组织造成不必要的创伤，而不会导致血液过多的流失。

10. 发明授权

US06280455B1 Surgical instrument for facilitating the detachment of an artery and the like 失效
标题翻译：用于促进动脉等的分离的手术器械
公开(公告)号：US06280455B1
公开(公告)日：2001-08-28
申请号：US09243742
申请日：1999-02-03
申请人： Richard S. Ginn , Hani Shennib , Charles S. Taylor , Ivan Sepetka
发明人： Richard S. Ginn , Hani Shennib , Charles S. Taylor , Ivan Sepetka
IPC分类号： A61B1700
CPC分类号： A61B17/00008 , A61B17/00234 , A61B17/02 , A61B17/320016 , A61B2017/00867 , A61B2017/00969 , A61B2017/2905 , A61B2017/2927 , A61B2018/00916 , A61B2018/1253 , A61B2018/1407 , A61B2018/1435
摘要： A surgical instrument is configured to aid in performing a procedure of detaching an internal mammary artery (IMA) and the like, from the connecting tissues and side branch vessels which surround the artery in its native location, wherein the detaching procedure is preliminary to the performing of a coronary artery bypass grafting procedure and wherein the IMA is detached via a minimally invasive thoracotomy. To this end, an elongated slender rod includes a handle at its proximal end and an artery engaging loop, arc, fork configuration, or hook at its distal working end. Embodiments may incorporate electrosurgical capability or electrical insulation. A surgeon thus has means for harvesting an intact and undamaged graft vessel from its native location through a minimally invasive incision with enhanced speed, visibility, and freedom of motion.
摘要翻译：手术器械被配置为有助于执行从其周围的动脉周围的连接组织和侧分支血管分离内部乳腺动脉（IMA）等的步骤，其中分离程序是执行的初步的冠状动脉旁路移植手术，其中通过微创开胸术分离IMA。为此，细长杆在其近端包括手柄，在其远端工作端处包括动脉接合环，弧形，叉形结构或钩。实施例可以包括电外科能力或电绝缘。因此，外科医生具有通过具有增强的速度，可见性和运动自由的微创切口从其原始位置收集完整且未损坏的移植血管的手段。

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